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The Merck Manual of Health & Aging Logo

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Table of Contents

Index

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CHAPTER 11   Hospital Care
TOPICS   Introduction ~ Going to the Emergency Department ~ Being Admitted to the Hospital ~ Problems Due to Hospitalization ~ Implementing Preventive Strategies ~ Being Discharged From the Hospital
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Introduction

More than one third of people admitted to the hospital are older people. And at any time, almost half of people in the hospital are 65 or older.

Older people may go to a hospital when they have a serious or life-threatening problem (such as a heart attack) or when a disorder (such as heart failure) suddenly worsens. They may go to the hospital when a less serious problem (such as a sprained ankle) requires immediate attention. Or they may be scheduled for admission to a hospital by a doctor because they need certain tests, intensive treatment, or surgery.

A hospital can be a frightening and intimidating place. Often, care occurs quickly and without explanation. Knowing what to expect can help people cope and actively participate in their care during their stay.

Hospital care is needed only when appropriate treatment cannot be provided in another place. The main goal is to restore or improve health so that people can return home. Thus, hospital stays are intended to be relatively short. Leaving the hospital as soon as it is safe is usually best for older people.

If further care is needed temporarily or permanently after a hospital stay, people are sent to another facility. They may go to a rehabilitation facility or a nursing home (skilled nursing facility). Sometimes care can be continued at home.

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